PREMIER DENTAL GROUP HI INC
NPI: 1407395668
· AIEA, HI 96701
· General Practice Dentistry
· NPI assigned 02/21/2017
Provider Details
| Authorized Official | TAKAKI, GLENN (PRESIDENT) |
| NPI Enumeration Date | 02/21/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
88 |
$3K |
| 2019 |
172 |
$5K |
| 2023 |
82 |
$4K |
| 2024 |
259 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
194 |
194 |
$10K |
| D0140 |
Limited oral evaluation - problem focused |
104 |
103 |
$4K |
| D1206 |
Topical application of fluoride varnish |
118 |
118 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
55 |
55 |
$2K |
| D9310 |
|
26 |
26 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
14 |
14 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
56 |
54 |
$883.12 |
| D1120 |
Prophylaxis - child |
19 |
19 |
$639.92 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$564.00 |